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The role of clinical imaging in oncology drug development: progress and new challenges
Philip Stephen Murphy1, Paul Galette2, Jasper van der Aart3
1Janssen Research and Development, High Wycombe, Buckinghamshire, United Kingdom.
Abstract:
In 2008, the role of clinical imaging in oncology drug development was reviewed. The review outlined where imaging was being applied and considered the diverse demands across the phases of drug development. A limited set of imaging techniques was being used, largely based on structural measures of disease evaluated using established response criteria such as response evaluation criteria in solid tumours. Beyond structure, functional tissue imaging such as dynamic contrast-enhanced MRI and metabolic measures using [18F]flourodeoxyglucose positron emission tomography were being increasingly incorporated. Specific challenges related to the implementation of imaging were outlined including standardisation of scanning across study centres and consistency of analysis and reporting. More than a decade on the needs of modern drug development are reviewed, how imaging has evolved to support new drug development demands, the potential to translate state-of-the-art methods into routine tools and what is needed to enable the effective use of this broadening clinical trial toolset. In this review, we challenge the clinical and scientific imaging community to help refine existing clinical trial methods and innovate to deliver the next generation of techniques. Strong industry-academic partnerships and pre-competitive opportunities to co-ordinate efforts will ensure imaging technologies maintain a crucial role delivering innovative medicines to treat cancer.
Insights
Clinical imaging in oncology drug development has evolved significantly since 2008. This review examines advancements in imaging techniques and their integration into clinical trials to deliver novel cancer therapies.
Area of Science:
- Oncology
- Medical Imaging
- Drug Development
Background:
- A 2008 review highlighted the use of clinical imaging in oncology drug development, focusing on structural measures and early functional techniques.
- Challenges included standardization and consistent analysis of imaging data across study centers.
Purpose of the Study:
- To review the evolution of clinical imaging in oncology drug development over the past decade.
- To assess how advanced imaging methods can be translated into routine clinical trial tools.
- To identify needs for effective implementation of a broader imaging toolset in clinical trials.
Main Methods:
- Review of current literature and practices in clinical imaging for oncology drug development.
- Analysis of the integration of advanced imaging techniques (functional, metabolic) into trial phases.
- Identification of challenges and opportunities for imaging in modern drug development.
Main Results:
- Imaging in oncology drug development has expanded beyond structural measures to include functional and metabolic assessments.
- State-of-the-art imaging methods show potential for routine use, but require further validation and standardization.
- Effective implementation necessitates addressing challenges in data consistency and analysis.
Conclusions:
- Clinical imaging plays a vital and evolving role in oncology drug development.
- Continued innovation and collaboration are crucial for leveraging advanced imaging to deliver new cancer medicines.
- Industry-academic partnerships are essential for coordinating efforts and advancing imaging technologies in clinical trials.
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